A Winsome Assisted Living Community

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA identified herself and was granted entry by Caregiver Irma Sunga. LPA explained the purpose of the visit to House Manager Jessica Enriquez. The facility is licensed for a maximum capacity of six (6) residents, age 60 and above, with one (1) bedridden resident permitted in Room #5 only. At the time of inspection, five (5) residents were in care, including one (1) ambulatory resident. Three (3) residents were present in the facility, and two (2) were out in the community. The facility does not have delayed egress devices or a secured perimeter. LPA toured the interior and exterior of the facility with Caregiver Sunga. Resident rooms were inspected and found to contain the required furnishings. Pathways were free of obstructions and slip hazards. The facility was clean, well-maintained, and in good repair. Doors, toilets, and showers were operational. Adequate hygiene supplies and extra linens were available. Sufficient space and equipment were observed for dining, laundry, visitation, meetings, and resident activities. Indoor temperature and refrigerator/freezer temperatures were within the regulatory range. During the inspection, LPA measured the hot water temperature at 130.5°F, which was not within the Title 22 regulatory range for Residential Care Facilities for the Elderly (RCFEs). Staff adjusted the temperature during the visit to bring it into compliance. (Continue at LIC809C) (Continue from LIC809) The facility maintained at least a two-day supply of perishable food and a seven-day supply of non-perishable food, all properly stored. Cooking and dining equipment were available. No sharp objects, toxic chemicals, or open-faced heaters were accessible to residents. Medications were properly labeled and secured in locked storage. The facility has a pool in the backyard. The pool gate was observed unlocked and accessible to residents. Residents confirmed they have access to the backyard area. Staff stated the gate is typically kept locked and that the gate was intended to automatically close all the way and lock. The House Manager locked the gate during the visit. House Manager Enriquez reported no firearms or ammunition on the premises. Smoke alarms, carbon monoxide detectors, emergency lighting, and the facility telephone were operational. The fire extinguisher was purchased within the last 12 months (June 23, 2025). The first aid kit was complete and accessible. Required postings were observed in visible areas of the facility. The emergency drills were conducted each quarter as required; the last drill was conducted on September 28, 2025. Confidential resident and staff records were reviewed and found properly stored and secured. Staff and resident interviews revealed no licensing concerns. Resident records contained required documentation. Staff files included current first aid certification. Staff provided proof of active business liability insurance and a surety bond. LPA provided technical assistance to the House Manager regarding maintaining complete records at the facility. Deficiencies are cited per Title 22 regulations and documented on the attached LIC 809D. A $500 Civil Penalty for a Zero Tolerance violation regarding Accessible Bodies of Water is issued and noted on the attached LIC 421IM. A plan of correction (POC) was developed with Licensee, Guia Enriquez via telephone conference. House Manager Jessica Enriquez received a copy of her Appeal Rights (LIC 9058 03/22). An exit interview was conducted, and copies of this report, LIC 809D, and LIC 421 IM were provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Dec 2, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced case management visit at the facility. LPA was greeted at the front entrance by Caregiver, Irma Sunga and granted entry after identifying herself. LPA explained the purpose of the visit to House Manager, Jessica Enriquez. During the visit, LPA Garcia-Centeno discuss the Title 22 regulation requirement for pool access security, water temperature, and facility records. An exit interview was conducted with House Manager, Jessica Enriquez a copy of this report, and Licensee/Appeals Rights (LIC 9058 01/16) was provided.the state’s words, verbatim · CDSS document, Dec 2, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. The facility file was reviewed before the visit. LPA identified herself and was granted entry by Caregiver, Irma Sunga. LPA explained the purpose of the visit to Jessica Enriquez, House Manager According to the facility’s license, the facility has a maximum capacity of six (6) elderly residents ages 60 and above; one (1) of whom may be bedridden in room #5 only. During today’s inspection, there were a total of six (6) residents in care, of which one (1) was ambulatory. Four of the residents were present at the facility other two (2) residents were at the day program. The facility does not feature a secured perimeter or delayed egress doors. LPA Garcia-Centeno was accompanied by the administrator, Enriquez while touring the interior and exterior of the facility. In addition, the residents’ rooms were inspected. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. The residents’ bedrooms contained the required furnishings. The doors, toilet, and shower were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities for the residents in care. The facility’s internal temperature and refrigerator and freezer temperatures were within the regulatory range. During today’s visit, LPA observed, via measurement with a thermometer, that the hot water temperature from the kitchen faucet accessible to residents was within regulatory range. (continue at LIC809C) (continue from LIC809) There were at least 2 days of perishable food, and at least 7 days of non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to residents. Medications were labeled, as required and stored in locked areas. Confidential residents and staff records were appropriately stored. No pools or bodies of water were observed on the premises. Per the administrator, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. The fire extinguisher was purchased within the last 12 months. The first aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and residents present during the visit and reviewed staff and residents' records. LPA interviews did not raise any licensing concerns. The residents' files that LPA reviewed contained the required documents. Staff records contained proof of current first aid training. The administrator presented proof of current/active business liability insurance as required by Title 22 regulations. LPA provided technical assistance to licensee Igbante-Enriquez regarding keeping personnel records updated with required training, and maintaining all facility records at the facility. No deficiencies were cited or observed on this date. The Licensee was provided a copy of her appeal rights (LIC9058 03/22). An exit interview was conducted with House Manager, Enriquez, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Dec 3, 2024

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted a case management visit after completing the annual inspection. LPA identified herself and was granted entry by Caregiver, Irma Sunga, to whom she disclosed the purpose of the visit. During the case management visit LPA Garcia-Centeno discussed the age requirement for residents living at the RCFE. The licensee agreed to submit formal request to CCL for age exception. LPA outlined the procedures for submitting a request to CCL. No violations were cited during today's visit. An exit interview was conducted with House Manager, Irma Sunga, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided at the end of the visit.the state’s words, verbatim · CDSS document, Dec 3, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. The facility file was reviewed before the visit. LPA identified herself and was granted entry by Caregiver, Irma Sunga. LPA explained the purpose of the visit to Licensee, Guia Igbante-Enriquez. According to the facility’s license, the facility has a maximum capacity of six (6) elderly residents ages 60 and above; one (1) of whom may be bedridden in room #5 only. During today’s inspection, there were a total of five (5) residents in care, of which one (1) was ambulatory. Only one of the residents was present at the facility all the other residents were at the day program. The facility does not feature a secured perimeter or delayed egress doors. LPA Garcia-Centeno was accompanied by the administrator while touring the interior and exterior of the facility. In addition, the residents’ rooms were inspected. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. The residents’ bedrooms contained the required furnishings. The doors, toilet, and shower were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities for the residents in care. The facility’s internal temperature and refrigerator and freezer temperatures were within the regulatory range. During today’s visit, LPA observed, via measurement with a thermometer, that the hot water temperature from the kitchen faucet accessible to residents was within regulatory range. There were at least 2 days of perishable food, and at least 7 days of non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to residents. Medications were labeled, as required and stored in locked areas. (continue at LIC809C) (continue from LIC809) Confidential residents and staff records were appropriately stored. No pools or bodies of water were observed on the premises. Per the administrator, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. The fire extinguishers were purchased within the last 12 months. The first aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and residents present during the visit and reviewed staff and residents' records. LPA interviews did not raise any licensing concerns. The residents' files that LPA reviewed contained the required documents. Staff records contained proof of current first aid training. The administrator presented proof of current/active business liability insurance as required by Title 22 regulations. LPA provided technical assistance to licensee Igbante-Enriquez regarding keeping personnel records updated with required training. No deficiencies were cited or observed on this date. The Licensee was provided a copy of her appeal rights (LIC9058 01/16). An exit interview was conducted with Licensee, Igbante-Enriquez, and a copy of this report was provided at the end of the visit.the state’s words, verbatim · CDSS document, Dec 18, 2023

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.